Não utilização de consultas de rotina na Atenção Básica por pessoas com hipertensão arterial

Barreto, Mayckel da Silva; Mendonça, Raquel de Deus; Pimenta, Adriano Marçal; García-Vivar, Cristina; Marcon, Sônia Silva

doi:10.1590/1413-81232018233.12132016

Cited by 27 publications

(26 citation statements)

References 21 publications

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“…In line with this matter, the finding is consistent with the literature, in which non-attendance to routine consultations does not imply casual use of PIM, supported by the absence of medical prescriptions that may compromise the therapy of choice for the treatment of hypertension, causing complications from its chronicity. Nevertheless, the absence of the elderly in routine consultations, related to non-attendance to medication therapy, leads to a higher probability of hospitalization for preventable causes, which leads to greater public spending on restoring health, as well as a significant impact on the quality of life of these people (2) .…”

Section: Discussionmentioning

confidence: 99%

“…The demographic and epidemiological transition has increased the life expectancy of the world population, with a significant increase in chronic and acute morbidities, concerned to most elderly people (1)(2) . Regarding Chronic Non-Communicable Diseases, hypertension has a high incidence in Brazil.…”

Section: Factors Associated With the Use Of Potentially Inappropriatementioning

confidence: 99%

“…About the structure for the elderly care with AH, data from the World Health Organization (WHO) indicate that, despite the progress, accessibility to health services remains limited in several parts of the world, mainly in developing countries, such as Brazil. The actions offered to the elderly population with hypertension to reduce complications related to chronic morbidity are still incipient, mainly because they understand that the work of the Family Health Strategy (FHS) teams is a time-consuming and gradual capillarity process for all health regions and its expansion to suburbs (1)(2)4) .…”

Section: Factors Associated With the Use Of Potentially Inappropriatementioning

confidence: 99%

“…Given the complexity of the elderly care with hypertension, medication therapy needs to be constantly monitored by health professionals at the primary level (2) . Some medications are inappropriate for the population over 60 years old due to the adverse effects inherent to their mechanism of action, which offer more risks than benefits, with triggering of symptoms related to bradycardia, toxicity, when in prolonged use, or risk of falls (5) .…”

Section: Factors Associated With the Use Of Potentially Inappropriatementioning

confidence: 99%

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Factors associated with the use of potentially inappropriate medications by elderly people with hypertension

et al. 2020

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Objective: to analyze factors associated with the use of potentially inappropriate medications by elderly people with hypertension. Method: a cross-sectional study, conducted in the first semester of 2016, with elderly people undergoing treatment for hypertension, living in the city of Maringá. Interviews, medical records analysis, and measurement of clinical and anthropometric parameters of the participants were carried out. Inferential analysis was used. Results: a total of 260 elderly people who used potentially inappropriate medications participated in the study. The high use of these medications was associated with clinical and anthropometric conditions, such as obesity (p=0.022), smoking (p=0.004), polypharmacy (p=0.034) and the health services provided, such as organizationally accessible treatment (p=0.027) and consultation time (p=0.007), predisposing to low adherence to routine consultations (p=0.003). Conclusion: it was shown that the factors associated with the use of potentially inappropriate medications were associated with anthropometric, clinical, and organizational variables, intrinsic to the family health strategy.

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Section: Discussionmentioning

confidence: 99%

Section: Factors Associated With the Use Of Potentially Inappropriatementioning

confidence: 99%

Section: Factors Associated With the Use Of Potentially Inappropriatementioning

confidence: 99%

Section: Factors Associated With the Use Of Potentially Inappropriatementioning

confidence: 99%

See 2 more Smart Citations

Factors associated with the use of potentially inappropriate medications by elderly people with hypertension

et al. 2020

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“…De modo geral, pessoas com hipertensão, em virtude da necessidade de controle, colaboraram para elevar a demanda e utilização dos serviços de saúde. Particularmente, os serviços públicos de saúde no Brasil destinam considerável oferta de cuidados à po-pulação com hipertensão, acarretando maior utilização por essas pessoas (15) . A maior prevalência de pessoas com hipertensão autorreferida na área urbana pode ter contribuído para a utilização mais frequente por essa população.…”

Section: Discussionunclassified

Disparidade urbano-rural na utilização de serviços de saúde em município de pequeno porte

et al. 2020

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Objetivo: analisar a existência de disparidade urbano-rural na utilização de serviços de saúde por pessoas vivendo em um município de pequeno porte. Métodos: estudo epidemiológico transversal com amostra representativa e aleatória de pessoas com 18 anos ou mais de idade na área urbana (n=1.235) e toda a população de um distrito rural (n=190). Utilizou-se o questionário sobre utilização de serviços da Pesquisa Nacional por Amostra de Domicílios. A análise considerou modelos de regressão logística para examinar fatores associados à utilização nos 30 dias anteriores ao estudo. Resultados: a taxa de utilização pelas pessoas da área urbana foi significativamente maior que da área rural (45,0% vs 15,8%). Mulheres e aqueles que reportaram sintomas de doenças no período e hipertensão arterial tiveram mais chances de utilização. Conclusão: pessoas residentes em área rural utilizam menos serviços de saúde quando comparadas àquelas da área urbana quando estão sob a mesma organização municipal de saúde.

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A randomized controlled trial testing the efficacy of a Nurse Home Visiting Program for Pregnant Adolescents

Fatori

Zuccolo

Shephard

et al. 2021

Sci Rep

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To test the efficacy of a nurse home visiting program (HVP) on child development, maternal and environmental outcomes in the first years of life. We conducted a randomized controlled trial to test the efficacy of Primeiros Laços, a nurse HVP for adolescent mothers living in a poor urban area of São Paulo, Brazil. Eighty adolescent mothers were included and randomized to receive either Primeiros Laços (intervention group, n = 40) or healthcare as usual (control group, n = 40). Primeiros Laços is a home visiting intervention delivered by trained nurses that starts during the first 16 weeks of pregnancy and continues to the child’s age of 24 months. Participants were assessed by blind interviewers at 8–16 weeks of pregnancy (baseline), 30 weeks of pregnancy, and 3, 6, 12, and 24 months of child’s age. We assessed oscillatory power in the mid-range alpha frequency via electroencephalography when the children were aged 6 months. Child development was measured by the Bayley Scales of Infant Development Third Edition (BSID-III). Weight and length were measured by trained professionals and anthropometric indexes were calculated. The home environment and maternal interaction with the child was measured by the Home Observation and Measurement of the Environment. Generalized estimating equation models were used to examine intervention effects on the trajectories of outcomes. Standardized effect sizes (Cohen’s d) were calculated using marginal means from endpoint assessments of all outcomes. The trial was registered at clinicaltrial.gov: NCT02807818. Our analyses showed significant positive effects of the intervention on child expressive language development (coefficient = 0.89, 95% CI [0.18, 1.61], p = 0.014), maternal emotional/verbal responsivity (coefficient = 0.97, 95% CI [0.37, 1.58], p = 0.002), and opportunities for variety in daily stimulation (coefficient = 0.37, 95% CI [0.09, 0.66], p = 0.009). Standardized effect sizes of the intervention were small to moderate. Primeiros Laços is a promising intervention to promote child development and to improve the home environment of low-income adolescent mothers. However, considering the limitations of our study, future studies should be conducted to assess Primeiros Laços potential to benefit this population.Clinical Trial Registration: The study was registered at clinicaltrial.gov (Registration date: 21/06/2016 and Registration number: NCT02807818).

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Não utilização de consultas de rotina na Atenção Básica por pessoas com hipertensão arterial

Abstract: Abstract

Cited by 27 publications

References 21 publications

Factors associated with the use of potentially inappropriate medications by elderly people with hypertension

Factors associated with the use of potentially inappropriate medications by elderly people with hypertension

Disparidade urbano-rural na utilização de serviços de saúde em município de pequeno porte

A randomized controlled trial testing the efficacy of a Nurse Home Visiting Program for Pregnant Adolescents

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